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Division of Clinical Behavior and Occupational Therapy

 

Features
Due to the advances of medical therapy and the improvement of quality of life, healthcare for chronic diseases has been taken more seriously. The overall attention has been increased in the 3 major sections including disease injuries, motor abilities, and social participation. Based on the development and the needs of the society, the Graduate Institute combines Behavior Science, Rehabilitation Science, and Occupational Science for the expansion of the research areas related to occupational rehabilitation. The objective of the Institute is to cultivate advanced research personnel in the fields related to occupational therapy and rehabilitation for the services of clinical therapy. As a result of this objective, the major research areas in development at the Institute include: Neurobehavioral Rehabilitation, Elderly Health Science, Assistive Technology, and Mental Hygiene Rehabilitation. We welcome those interested to join us.
 
 
Learning Environment
The space of the Institute is approximately 700 ping. The Institute provides excellent study and research environments including independent study areas for the graduate students and discussion rooms for the students to interact and exchange ideas with each other. The furnished student dormitory is also provided for comfortable living.

Building of the Graduate Institute of Clinical Behavioral Science
Discussion Rooms for Graduate Students
Classrooms
Graduate Student Rooms
Graduate Student Dormitory
Simulation of Experimental Process
Experimental Apparatus (Amplifiers, Electrode Caps, Electrode Wires, Key of the Recording and Analysis Software
Stimulation Examples Presented by the Stimulation Software (STIM-II)
Stimulation Examples (tapping) and Related Equipment (Wisconsin Card Sorting)
Simulation of Experimental Process
Post-Experiment Brain Wave Analysis
Magnetic Resonance Imaging Analyzer
Cerebral Medical Image Processing System
Pre-Treatment Brain Activation
Post-Treatment Brain Reorganization
Motion Analyzer
Facial Trailing, Positioning, and Recognition System
Eye Tracker
Electromyography Device
Foot Pressure and Center of Gravity Analyzer
Consciousness and Motion Function Evaluation Tool
Reverse Glasses

 
Academic Activities
Research Directions and Development Focuses
The research and development focuses of the Graduate Institute consist of the following 4 major categories: Neurobehavioral Rehabilitation, Elderly Health Science, Assistive Technology, and Mental Hygiene Rehabilitation including the research of neurological behaviors, the exploration of motion control, the study of elderly healthcare, assistive technology and ergonomics, career service and the investigation of mental hygiene. The 4 major categories are illustrated as follows.
 
I               Neurobehavioral Rehabilitation
The twenty first century is the century of the brain science. The brain plays a very important role in the human’s cognitive behaviors and activities and the motion control. With the understanding of the mechanism of the brain behaviors and the motion control, the occupational therapists or the rehabilitation personnel will be able to make clinical innovation and breakthroughs in the motion and behavior evaluation and treatment or the environmental transformation. Therefore, in order to raise the research standards of occupational therapy and behavior rehabilitation, the trend of modern scientific research and development is integrated. The faculty and research resources in the fields of rehabilitation medicine, molecular medical imaging, medical engineering, and psychology are utilized for the research in the fields related to brain behavior and motion control including the electrophysiological study of the brain, the study of brain imaging, kinematics, mechanics, analysis of electromyography, clinical evaluation of cognition, consciousness, and motion.
 
Electrophysiological Study of the Brain
The occupational therapy profession cares about the characteristics in the fields of perception, consciousness, cognition, and motion of the clinical case. The occupational therapist can create new ideas in the previously described knowledge fields via ERP. As far as the basic research is concerned, ERP can be used to understand the operation mechanism of the specific region of the brain. In terms of the application, ERP can be combined with behavior evaluation for further understanding of the characteristics of the case and for the verification of the post-rehabilitation change of the brain mechanism, serving as a good tool for the verification study.
 
Study of Brain Imaging
The combination of occupational therapy and medical molecular imaging can expand the diversity of the rehabilitation research from the level of molecular medicine. Direct observation of the pattern of the functional reorganization of the brain resulted from different rehabilitation treatments from the in vivo activities of the molecules can give rise to the verification and evolution of therapeutic theory toward the evidence-based clinical treatments. Moreover, different perceptions of the stimulation such as the visual, auditory, motional, tactile, or cognitive senses will lead to the changes of the activities in different regions of the brain. The role of the brain in the cognitive perception can be understood via the connection of behavior rehabilitation and molecular biology.
 
Kinematics, Mechanics, and Analysis of Electromyography
Kinematics captures the temporal and spatial features of the motion including the records of the description of the limb motions and the trajectory of the eyeballs. The sports mechanics focuses on the distribution of the force in different regions during the execution of the motions such as the weight bearing of one leg, and the transfer of the center of gravity. The electromyography quantifies the temporal order and amplitude of the muscle activities. The motion data of different levels collected from these instruments is processed and calculated by the computer program to quantify the characteristics of the body behaviors into a series of parameters which can facilitate the understanding of the control mechanism of the motions of the neurological or orthopedic patients, the evaluation of motion behaviors, and the evaluation of the treatment results. In the clinical practices, they can serve as the analytical tools for the execution of functional or therapeutic activities as well as for the evaluation of the subtle changes of the motions during the recovery process of the patient to estimate the progress of the motion integration of the patient. They can also be used for the evaluation of the advantages of aids and splints, the evaluation of gesture control, and the assessment of the motion progress to evaluate the treatment results.
Clinical Evaluation of Cognition, Consciousness, and Motion
The Institute cares about the congenital, the acquired, and the developing cases where hardship is encountered. They may be accompanied by the disorders of the perception, motion, consciousness, and cognition operation systems which lead to the difficulties in the occupational performance of their daily lives, their learning, or their jobs. Therefore, it is necessary to investigate the characteristics of these operation systems. In addition to the scientific measurements by kinematics, mechanics, and brain electrophysiology, we also use behavior evaluation tools with good reputation to conduct the investigation of the characteristics of the clinical case and to verify the therapeutic effect. In accordance with this fact, the Institute possesses the tools for the evaluation of perception, motion, consciousness, and cognition to explore the specific adult groups (brain injury, spinal injury, psychiatric patients) or the developing groups (brain injury, development coordination disorder, attention deficiency and hyperactivity, learning disorder) that we serve.
II            Elderly Health Science
Due to the change of the population structure of the society in these years in Taiwan and the reform of the payment system of the medical service and health care system, long term healthcare has become the key focus of the policy development of the government. In addition to the Chang Gung Memorial Hospitals of acute medical system, the Chang Gung Health Care System includes the Chronic Hospital, the Nursing Home, and the Elderly Nursing Community (the Health and Culture Village) which together form the integrated health care system with the complete integration of the resources in disease prevention and health care, acute medical treatment, chronic medical rehabilitation, and long-term health care. The focus of the research and development of the Elderly Health Science lies in the study of the clinical practice and theory of the elderly health from multiple viewpoints of physiology, psychology, and society. The importance of the occupational therapy and rehabilitation related personnel in the long-term health care of the elderly is emphasized. The occupational therapy and rehabilitation service model of the long-term health care system is thus established. The relationship between the elderly occupational activity and the health promotion is also discussed.
III         Technical Assistive Devices
1.      Computerized Technical Assistive Devices
2.      Development and Analysis of Therapeutic Effect of Splints and Assistive Devices
IV          Mental Hygiene Rehabilitation
The subject of mental hygiene rehabilitation has become more important with the advance of medical standards. The development of occupational therapy in mental hygiene rehabilitation includes: 1) the correlation between the occupational activity and the quality of healthy life 2) the vocational rehabilitation of the patients with mental disorder 3) the application of computer technology in mental hygiene rehabilitation 4) the application of processing technology of medical imaging in mental hygiene rehabilitation
 
Research Facility and Environment
The Institute combines the related research groups to conduct various quantification and qualification studies. The most advanced computerized equipment is used to investigate the most advanced subjects in occupational therapy and rehabilitation in order to make significant theoretical as well as clinical contribution to the research fields.
I               Electrophysiological Research Equipment
II            Brain Imaging Research Equipment
III         Motion Analysis and Electromyography Equipment
IV          Cognition, Consciousness, and Motion Clinical Research Equipment
V             Elderly Health and Mental Hygiene Research Facility
VI          The Application of Computerized Technical Assistive Devices for Adults or Children
 
(1)         Research Methods:
The research methods are the fundamental tools for academic research. The solid research methods provide the key for the researcher to open the door to the theoretical evaluation and the study of the effect of clinical intervention. Therefore, a number of diverse courses such as Research Method, Advanced Statistics, Critics of Dissertation, and Scientific Research Methods are available.
(2)         Background Knowledge of Neurological Behaviors:
Among many factors affecting human behaviors, the brain plays a very important role. Without it, all behaviors and the mind activities will cease. The activities of the brain are expressed by the external behaviors and represented by a variety of occupational functions through interaction with the environment. In order to expand the understanding of the students in the brain activities and the control of movement and behaviors, courses such as Rehabilitation of Neurological Behaviors, Brain and Shaping Behavior, Control and Learning of Advanced Movements, and Neurological Development are provided.
(3)         Biomechanics and Technical Assistive Devices:
One way of the motion control is via the biomechanical mechanism. Occupational therapy and rehabilitation frequently utilize the biomechanical knowledge and technical assistive devices to enhance the occupational expression. In order to improve the application of biomechanics and technical assistive devices in rehabilitation, the courses such as Special Topics of Technical Assistive Devices, Special Topics of Rehabilitation Biomechanics, Diseases and Perception Motion Analysis, Special Topics of Motion Science, and Ergonomics are provided for the students.
(4)         Elderly Health Science and Mental Hygiene Rehabilitation
The Division also provides optional courses related to rehabilitation or psychiatric medicine for selection such as Long-Term Health Care, Psychopathology, and Psychiatric Medicine.
Admission
There are 2 kinds of examinations for admission; the documentation/interview examination, and the written examination.
 
Documentation/Interview Examination
The registration date for the documentation/interview examination is around November each year. The examination date (i.e. the oral examination date) is held in December each other. The admission quota is 4. The exact dates and the related information of each year will be available in the admission brochure
 
Written Examination
The preliminary examination and the second examination are held in April and in May each year, respectively. The preliminary examination is a written examination covering 3 subjects among which 2 subjects are required. The 3 subjects include Occupational Therapy of Pediatric Diseases, Occupational Therapy of Physiological Diseases, and Occupational Therapy of Psychological diseases. The contents of the written examinations are based on the reference books. The score of the preliminary examination accounts for 60% of the overall score. The students with high scores of the written examination will be notified for the second examination. The oral examination requires 6 minutes of oral presentation. Any material useful for further consideration and evaluation such as the transcripts, academic reports, the outlines of the oral presentations may be provided. The exact dates and the detailed information of each year will be given in the admission brochure.

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